1 rich Libsyn https://www.libsyn.com 90 600 At the Society for Obstetric Anesthesia and Perinatology (SOAP) meeting in Montreal, Desiree Chappell and Mike Grocott interview Meghan MacCleary, Obstetrician-Gynaecologist with Banner Health in Phoenix, about multidisciplinary collaboration to improve maternal outcomes. Dr MacCleary describes her high-risk tertiary practice (about 4,000 deliveries/year; 25–26% C-sections) and decision-making for C-section based on safest delivery for mother or baby, amid rising maternal comorbidities, obesity, and older maternal age. She highlights concerns during C-section including patient comfort, hypotension, nausea/vomiting, bleeding, and postpartum haemorrhage, noting U.S. maternal mortality concerns. The conversation advocates for continuous noninvasive blood pressure monitoring (finger cuff) to detect instability earlier, reporting reduced hemorrhage and ICU transfers in a 90-day quality project and discussing related advocacy at an Anesthesia Patient Safety Foundation (APSF) Capitol Hill briefing. -- Join us at Evidence Based Perioperative Medicine (EBPOM) World Congress 2026 in London. Be part of a global conversation as clinicians from around the world gather between 7-9th July at the British Library in London. Three days of evidence-based perioperative medicine, global insights, and expert debate—featuring speakers including Michael Marmot and Ken Rockwood. Register here - https://ebpom.org/product/ebpom-world-congress-2026/ TopMedTalk https://www.topmedtalk.com <iframe title="Libsyn Player" style="border: none" src="//html5-player.libsyn.com/embed/episode/id/41136080/height/90/theme/custom/thumbnail/yes/direction/forward/render-playlist/no/custom-color/3a5fa9/" height="90" width="600" scrolling="no" allowfullscreen webkitallowfullscreen mozallowfullscreen oallowfullscreen msallowfullscreen></iframe> https://assets.libsyn.com/secure/content/201518635